Clinical Study of Postoperative Surgical Site Infection in a Tertiary Care Centre

2017 ◽  
Vol 8 (2) ◽  
pp. 106-112
Author(s):  
Harbade Suresh ◽  
◽  
Jagtap Dinesh ◽  
Jadhav Sarojani ◽  
Wasadikar P.P ◽  
...  
Author(s):  
Prashansa Santosh Raut ◽  
Reena Wani ◽  
Theertha Shetty ◽  
Roshni Khade ◽  
Anjali Mulchandani

Background: Increased referrals and workload during the pandemic lead to overcrowding in hospitals and increase in LSCS rates. Surgical site infection is one of the most common complication post LSCS causing physical and mental duress to the patients. The objective of the study was to analyse the effect of COVID-19 on SSI, the incidence, commonly associated factors and bacteriology of SSI. The design was prospective study design.Methods: 577 patients undergoing LSCS were studied from Day 1 till 30 days post LSCS from 1st August 2020 to 31st October 2020.Results: Out of 577, 28 (4.85%) patients developed SSI. 60% of SSI in our study were unbooked, 50% had haemoglobin less than 9.9 g/dl. Most common risk factor for developing of SSI included pre-eclampsia (32.14%) followed by previous LSCS (28.57%). Common organism isolate was MRSA (25%) and 75% required surgical management.Conclusions: Regular ANC visits can help in managing comorbidities at an earlier stage leading to reduction in SSI. Strict aseptic precautions should be followed to reduce SSI in cases with PROM and second stage arrest. SSI rate is not influenced by COVID-19 status but hospital facilities and overcrowding definitely have an effect.


2016 ◽  
Vol 3 (103) ◽  
pp. 5671-5675
Author(s):  
Abhijith Sudhakar Shetty ◽  
Mohamed Afjal ◽  
Balaji Prabhakaran

2016 ◽  
Vol 25 (4) ◽  
pp. 210-217 ◽  
Author(s):  
M. Siddique J. Akhter ◽  
R. Verma ◽  
K. Premjeet Madhukar ◽  
A. Rajiv Vaishampayan ◽  
P.C. Unadkat

2017 ◽  
Vol 4 (9) ◽  
pp. 3101 ◽  
Author(s):  
Ansul Kumar ◽  
Arpita Rai

Background: Surgical site infection (SSI) can be defined as an infection that is present up to 30 days after a surgical procedure if no implants are placed and up to one year if an implantable device was placed in the patient. SSI is a significant problem associated with major surgeries and is the 3rd most frequently reported nosocomial infection. This study aims to study the prevalence of SSI in the Department of Surgery, Rajendra Institute of Medical Sciences (RIMS), Ranchi.Methods: A retrospective study was undertaken at the Department of General Surgery for a period of one year. Retrospective chart review was conducted from the hospital database. The rate of SSI was studied in relation to its type, the type of surgical procedure and elective vs emergency surgeries.Results: The present study revealed 12.5% prevalence of SSI in Department of General Surgery, RIMS. Among the 3 types, superficial incision SSI was most prevalent followed by deep incisional SSI and finally by organ/space SSI. The surgical procedure most commonly associated with SSI was exploratory laparotomy. An alarming 17.7% of SSI was associated with emergency surgeries as compared to 12.5% of elective surgeries.Conclusions: The consequences of SSIs greatly impact patients and the healthcare systems. Prevention of SSI requires a multifaceted approach targeting pre-, intra-, and postoperative factors. It is imperative that facilities have open-minded management teams, regulatory agencies and medical associations that want to provide the foundation required to generate a culture of patient safety in our health care systems.


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